Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cleanse Clinic, PLLC

Organization Addiction Psychiatry Physician · NPI 1659726628

Cleanse Clinic, PLLC is an Addiction Psychiatry Physician in Louisville, Kentucky. Works from 4 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

645 S Roy Wilkins Ave Ste 100
Louisville, KY 40203-2072
Phone: (502) 583-4092
Fax: (502) 371-6110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1700 State St, New Albany, IN 47150-4916 — (812) 914-7038
  • 1800 Highland Ave, Carrollton, KY 41008-8770 — (502) 316-6675
  • 1616 Harrodsburg Rd, Lexington, KY 40504-3706 — (859) 402-8224

Specialties & licences

Addiction Psychiatry Physician (primary) Taxonomy 2084P0802X · Licence 800212 (KY)

Record details

NPI number1659726628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret Groll — Business Manager · (812) 987-4330
NPI enumeratedApril 27, 2016
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address720 W Broadway Ste 202, Louisville, KY 40202-3245

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